Vendor Center

United HealthCare/Optum

Description

https://www.optum.com/business/resources/library/AJMC-study-of-onsite-care-model.html

The Optum ISNP care model for SNFs

Reduce costly transfers with expanded clinical care.

Break the high-cost cycle by increasing care and benefits to Institutional Special Needs Plan (ISNP) members.

Our clinical model, providing care delivery and coordination programs for long-term skilled nursing facility (SNF) residents, serves 1,800+ SNFs and over 70,0001 members nationwide. Our model also meets CMS Model of Care requirements for ISNPs.

Our program is led by an experienced team of advanced practice clinicians (APCs) who coordinate and enhance the quality of care for members of participating ISNP plans.

DELIVERY OF CARE

Our clinical team delivers care in collaboration with the primary care provider, the facility staff and other providers.

RIGHT CARE. RIGHT PLACE. RIGHT TIME.

Our model is designed to care for members in place and avoid unnecessary hospitalizations.

24/7 AVAILABILITY

Our model includes after-hours and weekend phone support for member clinical issues.

Making a difference

Reduce transfers and save money by caring for members in place. A recent study of our model showed2:

  • 38% fewer hospitalizations
  • 51% fewer ED visits
  • 45% fewer re-admissions
  • 112% higher rate of SNF use

Optum information